Intracorporeal anastomosis during minimally invasive right colectomy leads to fewer incisional hernias compared to extracorporeal methods.

• Extraction site hernia rate at 2 years: 10.1% (extracorporeal) vs. 1.9% (intracorporeal), p=0.013.
• No conversions to open surgery in the intracorporeal group; 4.7% in extracorporeal, p<0.0001.
• Intracorporeal methods resulted in shorter hospital stays (3 vs. 4 days, p<0.0001) and faster recovery.

Surgeons should consider prioritizing intracorporeal techniques for better patient outcomes and reduced complication rates.